국가예방접종전산등록체계 개발을 위한 민간의료 기관 하부구조 및 환경 조사연구

이무식,김은영,이건세,이석구,홍지영,김건엽,김대경,신의철,이연경,기몽서,나백주,김영택 한국모자보건학회 2003 한국모자보건학회지 Vol.7 No.2

A Study on Gender Differences in Morality and Ethics: From the Perspective of Feminist Therapy

Ju–yeon LEE 한국융합인문학회 2015 Asian-Pacific Journal of Social Quality Vol.2 No.1

Feminist therapy, based on feminist philosophy, has the aim of supporting and strengthening the powers of social minority groups, including women, and bringing change to society through these efforts. Its basic principle is that of equality, seeking freedom from any prejudice or oppression coming from gender differences. Through the analysis of a commercial entitled “Show,” by Korea Telecom, this study discusses how women, and especially women’s sense of ethics, are viewed in society. The commercial has been analyzed according to ethical theories, and a tentative conclusion has been reached: Women’s ethics is more relationshiporiented and caring than that of men, and it is the product of experiences, and learned through a system. Men and women are not innately different in terms of ethics, but rather the difference is something experienced, learned, and encouraged, and people acquire this difference in the course of interacting with others in order to survive. Taking this into consideration, the current study proposes and discusses a new method of dealing with ethics in feminist therapy: The fact that difference exists should be acknowledged, and an effort should be made to ‘show’ various effects of this difference.

2003년 국내 중증급성호흡기증후군 진료 현황 및 문제점 분석

이진수,김은실,정문현,백제중,정선화,안주희,최영화,이선희,고철우,김성범,김민자,박승철,기현균,송재훈,최상호,김양수,이상오,조용균,박영훈,정숙인,김연숙,이흥범,손창희,장성희,정희진,김우주 대한감염학회 2004 감염과 화학요법 Vol.36 No.3

목적 : 2002년 말 중국에서 SARS가 발생한 이후 국내에서도 2003년 10월까지 총 3명의 추정환자, 17명의 의심환자가 보고되었다. 향후 추가적인 SARS의 유행이 우려되는 상황에서, 그간의 SARS 환자 진료에 있어서의 실질적인 준비사항, 진료 현황 등에 대한 조사를 통해 문제점을 파악하여, 향후 더 나은 대비가 될 수 있도록 개선점을 제시하고자 하였다. 재료 및 방법 : SARS로 의심되는 환자를 진료 경험이 있는 병원의료진을 대상으로 2003년 10월에 설문조사를 실시하였다. 설문에는 SARS 환자 진료 시의 실질적인 조치, 진료 현황, 병실, 응급실 및 외래에서의 격리 시설과 준비사항, 보건당국의 관리와 지원에 관한 사항을 포함하였다. 결과 : 대상이 되는 22개 병원 중 17개(17/22, 77.2%) 병원이 설문에 응하였다. SARS 환자를 위한 격리실은 응급실, 외래, 일반병실 및 중환자실에서 각각 9개(9/17, 52.9%), 5개(5/17, 29.4%), 15개(15/16, 93.7%), 4개(4/16, 25%) 병원에서 음압처리가 되어있지 않은 일인실 혹은 다인실이 사용되었고, 1개(1/16, 6.3%) 병원에서만 일반병실에서 음압격리실이 운영되었다. 입원환자의 진찰 시 개인보호구의 착용은 거의 모든 의료기관에서 이루어졌다. 보건당국에서 SARS지정병원의 시설 등을 사전에 확인한 곳은 1곳(1/12, 8.3%)이였고, 14개 병원(14/15, 93.3%)에서는 보건당국에 의뢰한 검사결과를 통하 받지 못하였다. 결론 : 의료기관에서 SARS 환자용 격리실뿐만 아니라 기존의 격리실 설비 등이 미흡하였으며, 특히 중환자실 및 외래의 준비가 더욱 부족하였다. 보건당국의 의료기관에 대한 종합적인 지원이 부족하였고, 병원과의 원활한 연계가 잘 이루어지지 않았다. SARS 만이 아닌 격리를 필요로 하는 질환의 적절한 진료를 위해 향후 병원 시설의 정비와 정부차원에서의 보다 구체적이고 실질적인 대책마련이 필요하다. Background : There was an worldwide outbreak of the Severe Acute Respiratory Syndrome (SARS) originated from China in late 2002. During that period three cases of suspected SARS and 17 cases of probable SARS were reported in Korea. With the concerns about the reemergence of SARS-coV transmission, it is important to be prepared for any possibility. So, this study is aimed to analysis the past measures in managing SARS and propose the amendatory plans to improve the preparedness. Materials & Methods : Questionnaires were collected among clinicians with any experience in managing the probable or suspected SARS cases in Oct. 2003. 17 out of 22 hospitals responded to the questionnaire. The contents in the questionnaire were practical activities, personal equipments, response plans, isolation facilities in emergency centers, outpatient clinics, general wards and intensive care units, and relationship with the public health department. Results : The dedicated isolation rooms in emergency centers, outpatient clinics, general wards, and intensive care units were prepared in 9 (9/17, 52.9%), 5 (5/17, 29.4%), 15 (15/16, 93.7%), and 4 (4/16, 25.0%) hospitals, respectively. Except for one hospital that newly made negative pressure room for SARS, single or multi-bed rooms without airborne infection control were used in all the other hospitals. The personal precaution principles were kept quite well in general wards. Before the designation of SARS hospital by the public health department prior evalution to see if the hospital was suitable for managing SARS was conducted in only 1 (1/12, 8.3%) hospital. The results of laboratory diagnosis were reported back in 1 (1/15, 6.6%) hospital. Conclusions : The isolation facilities which can control airborne infection were almost deficient not only for SARS but also for other respiratory transmissible diseases. For the infection control of transmissible diseases including SARS, more investment is needed on medical facilities and comprehensive support from the public health department required.

식품제조업 근골격계질환 평가 및 개선방안 연구

이창민;오연주;김진훈;김대응 동의대학교 산업기술연구소 2008 産業技術硏究誌 Vol.22 No.-

국내 산업재해율 중 50% 이상이 근골격계질환으로 최근 몇 년간 급속한 증가수치를 보이고 있다. 특히 산업재해율이 가장 높은 분포를 가지는 제조업분야에서는 작업 특성상 비정형화된 작업을 장시간 정적 작업자세로 수행함으로써 근골격계질환에 노출될 확률이 높다. 최근 몇 년 간 근골격계질환 예방을 위한 꾸준한 노력이 시행되고 있으나 대부분이 대규모 사업장을 비롯한 것으로 중•소규모의 사업장을 대상으로 하는 분석 및 평가가 미비한 실정이다. 식품제조업의 작업 업무는 많은 자동화 설비가 갖추어져 있음에도 불구하고 작업특성상 장시간의 기립자세가 요구되며 불필요한 작업자세가 유발된다. 식품제조업 분야의 작업공정은 작업형태에 따라 들기, 포장, 정돈 제품적재 작업으로 그룹화 할 수 있으며 이를 근간으로 인간공학적 평가도구를 이용한 작업분석을 설시하였다. 근골격계질환 예방을 위한 분석결과 불필요한 작업자세가 유발되거나 장시간 정적 작업을 비롯한 단순 반복 작업이 식품제조업 분야에 있어서 가장 큰 유해요인이라 할 수 있다. 이에 본 연구에서는 식품제조업의 작업평가 시 근골격계질환 유해요인으로 관찰되는 부적절한 작업형태 및 작업환경에 대한 인간공학적 평가 및 개선을 통하여 근로자가 안전하게 작업할 수 있는 적합한 작업공간 및 작업형태를 제시하였다.

신체화장애 환자의 스트레스 대처방식 및 심리적 특성

이주연,이무석,윤진상,양종철,문지웅,정해원,은성종 大韓神經精神醫學會 2006 신경정신의학 Vol.45 No.6

Objectives : The purpose of this study was to investigate the stress coping strategies and psychological charactehstics, such as combined psychopathology and tendency of symptom interpretation, in patients with somatization disorder. Methods : Thirty patients meeting the criteria of DSM-IV somatization disorder were compared with thirty controls. We evaluated the subjects using Symptom Checklist-90-Revised (SCL-90-R), Somato-Sensory Amplification Scale (SSAS), Symptom Interpretation Questionnaire (SIQ), and The Ways of Stress Coping Questionnaire (SCQ). Independent t-test and Pearson correlation analysis were used. Results : From the results of SCL-90-R subscales, the scores of somatization, obsession-compulsion, depression, anxiety, and psychoticism were significantly higher in patients with somatization disorder than nonnal controls. Somatization disorder patients had greater amplification of physical sensation in SSAS and significantly higher score in physical interpretation of SIQ compared with psychological or environmental interpretation, In the SCQ of somatization disorder patients, we observed generallylower levels of total coping scores than the control group and significant positive correlation between passive coping style of SCQ and psychological interpretation of SIQ. Conclusion : These results show that patients with somatization disorder have various psychopathology, greater amplification of physical sensation, physical interpretation tendency of symptoms, and insufficient copying strategy.

한국인 정신분열병과 도파민 D5 수용체 유전자 연합연구

이민수,조주연,박두병,김준모 大韓神經精神醫學會 1999 신경정신의학 Vol.38 No.2

본 연구는 도파민D5 수용체 유전자와 정신분열병 병인과의 상관성을 밝히기 위하여 한국인 정신분열병 환자군 100명과 정상대조군 100명에서 다형성의 분포를 중합효소연쇄반응을 이용하여 연합연구를 시행하였다. 도파민 D5 수용체 유전자의 대립유전자는(CT/GT/GA)n의 반복으로 구성된 154, 152, 150, 148, 146, 144, 142, 140, 138, 134염기 쌍을 가진 11가지 종류였고 환자군과 정상대조군사이에 대립유전자의 분포는 통계적으로 유의한 차이를 보였다. 각각의 대립유전자 빈도는 환자군에서 대립유전자 A10이 유의하게 감소되어 있었다. 환자군과 정상대조군의 유전자형 분포는 두 군간에 유의한 차이는 없었다. 본 연구의 결과는 도파민 D5 수용체 유전자가 한국인 정신분열병 발생의 취약성에 기여할 가능성이 있다는 것을 제시하지만 본 연구의 결과만으로는 이 유전자부위를 정신분열병의 유전적 결정인자로 결론 내리기는 어려우며 앞으로 더 많은 연구대상을 이용하여 이 도파민 D5 수용체 유전자부위에 대해 본 연구결과를 확인하는 연구가 계속적으로 이루어져야 할 것으로 생각된다. Objective : This study was performed to define the genetic relationship between the microsatellite (CT/GT/GA)n polymorphism for the dopamine D5 receptor gene and schizophrenia. An association study in 100 schizophrenic patients and 100 normal controls of Korean was made by means of using polymerase chain reaction. Results : The microsatellite(D5(CT/GT/GA)n) had 11 alleles. These was a significant difference in the allele distribution between schizophrenic and normal controls(p〈0.05). In schizophrenic patients, the frequency of allele A10 was decreased. As to the genotype distribution, there was no difference in both groups. Conclusions : This finding suggests that dopamine D5 gene is likely to be related to the development of schizophrenia in Korea but with only this result, we cannot come to the conclusion that this genetic locus is the genetic determinant of schizophrenia. Further studies of dopamine D5 receptor genetic locus that can confirm this result should be made.

침적 모형에 의한 습성침적 플럭스 수치모의

이화운,문난경,임주연 한국환경과학회 2002 한국환경과학회지 Vol.11 No.12

The purpose of this study is to estimate wet deposition flux and to investigate wet deposition characteristics by using the ADOM model. Wet deposition flux of high reactive SO_2 is estimated by applying observed meteorological parameters and concentrations of chemical species to the ADOM model. Wet deposition is largely dependent on large scale precipitation and cloud thickness. Wet deposition flux of sulfate increases, but wet deposition flux of SO_2 is small. On the whole, the pattern of sulfate flux agrees with the typical pattern of sulfate wet deposition that is high in the summer(July) and low in the winter(January)

비행청소년의 불안, 우울, 억압, 대처방식에 관한 연구

이재광,진태원,조주연 大韓神經精神醫學會 1998 신경정신의학 Vol.37 No.3

비행청소년들의 불안, 우울, 억압정도 그리고 스트레스에 대한 대처방식을 알아보기 위하여 불안척도, 우울척도, 억압민감척도, 그리고 적응척도 등을 이용하여 학생청소년 158명과 비행청소년 90명을 대상으로 본 연구를 시도하였다. 수집된 자료는 SPSS 프로그램을 이용하여 처리되었으며 자료는 변량분석에 의해서 통계처리되었다. 비행청소년들의 불안, 우울, 억압의 정도는 학생청소년들에 비해서 높았으며, 스트레스에 대한 비행청소년들의 적응방식은 학생청소년에 비해 부적응적 적응기전을 이용하는 경향이 더 많았다. 결론적으로 비행청소년들은 학생청소년들에 비해서 좀 더 불안하고, 우울했으며, 억압을 더 많이 하는 경향이 있었으며, 적응방식은 부적응적이었다. In order to investigate the level of anxiety, depression and repression, and the coping style in response to the stress of the delinquent adolescents, we examined 158 delinquent adolescents and 60 student adolescents using anxiety scale, depression scale, repression sensitivity scale and coping scale. Data were processed by IBM PC AT computer using SPSS program and were statistically analysed by ANOVA. The level of anxiety, depression and repression of delinquent adolescents was significantly higher and the score of maladaptive coping scale was significantly higher than of student adolescents. In conclusion, delinquent adolescents were more anxious, depressive, repressive, and more maladaptive than student adolescents.

진웨어 광고의 내용분석 - 잡지광고를 중심으로 -

李周衍,朴吉順 복식문화학회 1997 服飾文化硏究 Vol.5 No.4

The purpose of this study was to identify the denotating of visual message and linguistic message in the advertisement of Jean-wear, and to identify the image type in the advertisement of Jean-wear. Content analysis was done using the advertisement of Jean-wear from several fashion magazines which were published from January, 1996 to August, 1997. The advertisement of Jean-wear reflects the reality using the photos, and is image appeal type, appeals to the model's lifestyle, the western value. And that mostly single person was appeared in the advertisement means solitude in modern society.

유병기간에 따른 한국인 파킨슨병 환자의 영양소 섭취 상태 및 식사의 질에 관한 연구

이주연,안태범,전범석,김윤영,조여원 대한지역사회영양학회 2008 대한지역사회영양학회지 Vol.13 No.4

Both genetic and environmental factors play important roles in the pathogenesis of Parkinson Disease (PD). The contribution of many environmental factors including dietary factor remains unproven. The purpose the study was to investigate the dietary habits, nutrient intake and dietary quality of Korean PD patients according to the duration of disease. PD patients were recruited from K and S university hospitals from May 2005 to January 2006. This study was carried out after approval by the Institute Review Board (IRB). British Brain Bank criteria was used to diagnose PD. The subjects were classified into 2 groups based on the duration of PD: < 25 months and ≥ 25 months groups. General characteristics, anthropometric measurements, food habits and dietary intakes were investigated. The results of this study were as follows: 1) The mean age of < 25 months group (66.9 ± 8.0 yr) was significantly higher than that of ≥ 25 months group (62.2 ± 8.8 yr) (p < 0.05). No significant differences were found for academic background, occupation, living status and social activity, however, numbers of diseases, exercise and family history of PD were significantly different. 2) Anthropometric measurements were not different between the two groups. 3) The frequency of taking snacks was significantly higher in < 25 months group and the amounts of alcohol consumption were significantly higher in ≥ 25 months group. 4) Daily intakes of most nutrients were very low compared with DRI. 5) The MAR score was significantly lower in < 25 months group (p < 0.05;) however, the scores of DVS, DDS and DQI were not significantly different. As a conclusion an overall nutrient intake and dietary quality of the Parkinson's Disease patients need to be improved regardless of duration of the disease and a well-balanced diet should be emphasized.